REPORT ON THE PHYSICAL COU

_____________________
(Type of Property, Plant and
As at December 31,

Fund Cluster : DepEd, HIMAMAYLAN CITY

For which _________________________+_, School Property, _____________________________________ is accountable, having

YEAR
ARTICLE DESCRIPTION SOURCE
ACQUIRED

Certified Correct by:

Signature over Printed Name of
Inventory Committee Chair and
Members
 Appendi
ON THE PHYSICAL COUNT OF INVENTORIES
____________________________
(Type of Property, Plant and Equipment)
As at December 31, 2020

____________ is accountable, having assumed such accountability on ____________________.

Balance Per On Hand Per Shortage/Overage

STOCK UNIT OF UNIT TOTAL
NUMBER MEASURE VALUE VALUE Card Count
(Quantity) (Quantity) Quantity Value

Approved by: Verified by:

___________________________
 Signature over Printed Name of Head of Signature over Printed Name of C
Agency/Entity or Authorized Representative Representative
 Appendix 66

initiated addtl collumn

REMARKS

______________________________
Signature over Printed Name of COA
Representative